IndividualActive
Dietra Teichmann, PH.D.
NPI 1831181726 · Clinical Neuropsychologist · Peoria, IL
Provider details
- NPI number
- 1831181726
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5401 N Knoxville Ave
Suite 217
Peoria, IL 61614-5098
Phone: (309) 282-1864
Fax: (309) 282-1867
Approximate (ZIP-level) locationGet directions
Mailing address
5401 N Knoxville Ave
Peoria, IL 61614-5098
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.